What are two 2 types of financial subsidies provided to health insurance plan members in the ACA market places?

Asked by: Nathaniel Robel  |  Last update: January 24, 2026
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State-based tax credits. Premium tax credits and CSRs are available on ACA marketplaces in every state. However, many states created their own subsidy programs. This makes health insurance even more affordable for their residents.

What are the two types of health insurance subsidies?

It is important to know that a subsidy is not a loan; you will not have to pay it back. A subsidy is just assistance to pay for your health care. The two types of subsidies available to those who qualify are the advance premium tax credit (APTC) and the cost-sharing reduction (CSR).

What are the two main parts of the Affordable Care Act?

The law has 2 parts: the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act. Full Text of the Affordable Care Act and Reconciliation Act (PDF – 2.6 MB) This is not the official version, and we provide it for your convenience.

How do subsidies work in the ACA?

The ACA limited subsidies to those who make less than 400 percent of the FPL; however, the American Rescue Plan in 2021 temporarily (for two years) lifted the cap on income qualification and increased the credit amount by adjusting the percentage of annual income that eligible enrollees are required to contribute to ...

What are the ACA marketplaces?

The Health Insurance Marketplace ® (also known as the “Marketplace” or “exchange”) provides health plan shopping and enrollment services through websites, call centers, and in-person help.

How Premium Tax Credit works (ACA Subsidies Explained) | Obamacare

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What is ACA funded by?

How Is (and Is Not) the ACA Funded? The largest source of funding for the ACA was from Medicare. The combination of Medicare provider reimbursement reductions and the Medicare taxes provided Medicare with a temporary reprieve from its ominous financial position.

What are ACA health plans?

Under the Affordable Care Act, patients who may have been uninsured due to preexisting conditions or limited finances can secure affordable health plans through the health insurance marketplace in their state.

Are ACA subsidies different by state?

Yes, if you're in a state that offers state-funded subsidies and you meet the eligibility guidelines. As described above, each state that offers these subsidies has its own rules in terms of income limits and whether the subsidies apply to all marketplace/exchange plans or only certain plans.

What are subsidies and how are they funded?

A subsidy is a direct or indirect payment to individuals or firms, usually in the form of a cash payment from the government or a targeted tax cut.

Are ACA subsidies based on income or assets?

Subsidy eligibility is based on income (ACA-specific MAGI). To qualify for a subsidy, a household must have an income of at least 100% of the federal poverty level (or above 138% of the federal poverty level in states that have expanded Medicaid).

What are two benefits of the Affordable Care Act?

Health insurance companies cannot turn down your application because of your health status. Women can no longer be charged more for insurance than men. In fact, insurance rates cannot be based on gender or gender identity at all. Once you buy health insurance, you do not have to pay anything for preventive care.

What are the 2 main goals of the ACA Accountable Care Act )?

The Patient Protection and Affordable Care Act (ACA) has 3 main objectives: (1) to reform the private insurance market—especially for individuals and small-group purchasers, (2) to expand Medicaid to the working poor with income up to 133% of the federal poverty level, and (3) to change the way that medical decisions ...

What are two major ways the Affordable Care Act has improved the US health system?

Affordable Care Act (ACA)
  • Make affordable health insurance available to more people. ...
  • Expand Medicaid to cover all adults with income below 138% of the FPL. ...
  • Support innovative medical care delivery methods designed to lower the costs of health care generally.

What are the two different types of subsidies give an example for each?

Subsidies come in various forms including: direct (cash grants, interest-free loans) and indirect (tax breaks, insurance, low-interest loans, accelerated depreciation, rent rebates).

What are the 2 most common health insurance plans?

Before choosing a health insurance policy for yourself, your family, or your employees, you must know what types are available. Some popular health insurance policy options are: Preferred provider organization (PPO) plans. Health maintenance organization (HMO) plans.

What is an example of a healthcare subsidy?

Health coverage available at reduced or no cost for people with incomes below certain levels. Examples of subsidized coverage include Medicaid and the Children's Health Insurance Program (CHIP). Marketplace insurance plans with premium tax credits are sometimes known as subsidized coverage too.

What is a subsidy for health insurance?

State. Subsidy description. California. Individuals with household incomes up to 250% of the federal poverty level (FPL) are eligible for CSRs that eliminate deductibles and reduce other out-of-pocket costs. For 2025, all Covered California enrollees will qualify for at least the Enhanced Silver 73 health plan5.

What are the examples of subsidies granted?

Examples could include agricultural produce, housing, or infrastructure projects. Other times, subsidies are given to a particular industry in order to make it more competitive or to encourage innovation and research.

What is the difference between welfare and farm subsidies?

The biggest difference between government subsidies and a welfare program is that to receive a government subsidy, a farmer has to have put in the work to grow the crop and attempt to make a profit.

Did the ACA provide subsidies?

Affordable Care Act subsidies have provided vital financial resources allowing millions of Californians to have health insurance in the individual market, with prices that enrollees pay based on their income, not their pre-existing conditions.

What is the difference between the Affordable Care Act ACA and Obamacare?

QUESTION: What's the Difference between “Obamacare” and the Affordable Care Act? “Obamacare” and the “Affordable Care Act” are the SAME thing.

What is a state subsidy?

(sʌbsɪdi ) countable noun. A subsidy is money that is paid by a government or other authority in order to help an industry or business, or to pay for a public service.

What is the ACA health insurance affordability?

In 2024, a job-based health plan is considered "affordable" if your share of the monthly premium in the lowest-cost plan offered by the employer is less than 8.39% of your household income. In 2025, it is considered "affordable" if the premium is less than 9.02% of your household income.

What health benefits are mandated by the ACA?

The Affordable Care Act requires non-grandfathered health insurance coverage in the individual and small group markets to cover essential health benefits (EHB), which include items and services in at least the following ten benefit categories: (1) ambulatory patient services; (2) emergency services; (3) hospitalization ...

What is the difference between Obamacare and marketplace insurance?

The federal Health Insurance Marketplace, which is also called the "Marketplace" or "Exchange," is the website where individuals can browse various health care plans available under the Affordable Care Act, commonly known as "Obamacare," as well as compare them, and purchase health insurance.